The country like India, being a developing country does not have a reasonable
rescue mechanism in place when an accident takes place. In such cases bystanders
play a major role in saving lives by taking appropriate measures. However,
people hesitate to help people as they fear of getting involved in the case. It
is the duty of the state to take measures to protect its citizen who willingly
rescue those in need. This paper outlines the model Good Samaritan law and the
measures taken by different states in India with regard to law and schemes to
protect its bystander in case of any act done to save the life of a person in
danger. The paper also analyses the current position in India, namely The Good
Samaritan Bill (Protection from civil and criminal liabilities) and
Miscellaneous Bill, 2014, the Supreme Court laid down guidelines in the judgment
of Save Life Foundation & Anrs Vs Union of India and The Karnataka
Good Samaritan and Medical Professional (Protection and Regulation during
Emergency Situations), 2018. It also focuses on providing effective legal
mechanism that encourages bystanders to help people who are injured. The
discussions on the requirement of such a law have been undertaken only in the
past decade. Lastly, the paper also gives comparative analysis of the laws made
on the same subject in different states and the effective measures taken by
them.
Introduction
A Good Samaritan refers to someone who renders aid in an emergency to an injured
person on a voluntary basis. A Good Samaritan statute is a law that requires a
person to come to the aid of another who is exposed to grave physical harm, if
there is no danger of risk of injury to the rescuer.
India has the highest number of road accidents deaths in the world – 15 people
die every hour and almost 60 are injured. The number of deaths due road
accidents in the past decade is close to one million. 80% of road accident
victims in India do not receive any emergency medical care within the critical
first hour after an accident. According to the Law Commission of India, 50% of
fatalities could be averted if victims receive timely medical attention.
“Golden Hour†also known as “Golden Time†refers to a time period lasting for
one hour following an accident or traumatic injury being sustained by a person,
during which there is highest likelihood that prompt medical care will prevent
death.Bystanders are therefore, of vital importance to prevent death and major
injuries to the victims of such accidents.
However, a large number of bystanders are unwilling to help the injured victims
because they fear harassment by the Police, payment of costs at Hospitals, etc.
According to a National Study conducted by the Save LIFE foundation and TNS
India Pvt. Ltd.
- 74% of bystanders are unlikely to assist victims of road accidents;
- 88% of those bystanders gave the following reasons for their reluctance:
legal hassles, including repeated police questioning and multiple court
appearances; and
- 77% of the respondents cited detention at hospitals and having to pay
hospital registration fees and other charges as reasons not to help.
The World Health Organization (WHO), in its “World Report on Road Traffic
Injury Prevention, 2004†has projected that by 2020, road accidents will be one
of the biggest killers in India. It also pointed out that high-income countries
have well-organized ambulance-based rescue systems but middle and low-income
countries, assistance by bystanders is most common.
Therefore, there was an immediate need to introduce a “Good Samaritan Law†in
India to provide a legal framework to encourage bystanders to assist victims
without fear of negative repercussions. “Good Samaritan Law†is a universal
moral duty that must be legally protected. As a result, the Good Samaritan
(Protection from Civil and Criminal Liabilities) and Miscellaneous Provisions
Bill (hereinafter referred to as “the Billâ€) was introduced in the Parliament in
2014 to protect a Good Samaritan from civil and criminal liabilities and to
establish a supportive legal environment. It aims to constitute a Good Samaritan
Authority and create an obligation on hospitals and clinics to help the victims.
A bystander is someone who witnesses an accident which includes road, railway
and air accidents. The Bill is still pending before the Parliament and there was
a special mention in the Rajya Sabha on 3rd May, 2016.
The Ministry of Road Transport and Highways of the Government of India laid down
certain Guidelines and Standard Operating Procedure and the Supreme Court
recently approved these guidelines and made them enforceable in all States and
Union Territories till an effective legislation is in place.
Concept of Good Samaritan
The Good Samaritan law offers to protect the altruistic rescuers from any
liability that may arise out of any negligent acts or omissions from such rescue
attempts.In order to understand how such law operates in a country, emphasis has
to be placed on two guiding attributes namely:
The elements which may require a bystander to be responsible as a “Good
Samaritan†and
The other essential ingredients to attract protection from any negative
consequences from the authorities after a rescue attempt.
Analysis of The Good Samaritan (Protection From Civil And Criminal
Liabilities) Bill
The object of The Good Samaritan (Protection from Civil and Criminal
Liabilities) Bill is to protect Good Samaritans from civil and criminal
liabilities and to establish a supportive legal environment by constituting a
Good Samaritan Authority and aims to create an obligation on hospitals and
clinics to provide emergency medical treatment. It extends to the whole of
India.
Main Features of The Bill-
The Bill provides for creation of a Good Samaritan Authority and outlines the
qualifications of the Chairman of the Authority. The Authority is required to
have representation from each State and Union Territory.
The functions of the Authority are to receive complaints regarding harassment of
Good Samaritan and the Bill provides for constitution of a Good Samaritan Fund
for various purposes in the Act.
Rights of A Good Samaritan-
The most important right given to a Good Samaritan is the exemption from civil
and criminal liability for any act done to save the life and property of the
victim.
A Good Samaritan cannot be compelled to file an FIR or pay any charges for the
treatment of the victim and cannot be compelled to stay at the Police Station or
Hospital nor give any information regarding the identity of the victim, his own
identity, or any other evidence regarding the accident.
In case if a good Samaritan wants to help in investigation process, the benefit
is that he will not be called repeatedly and his statement will be recorded in a
single hearing.
The Bill further provides that all hospitals and clinics to provide emergency
medical treatment without demanding payment for such treatment. Any hospital or
a clinic cannot deny emergency treatment even if the family is unable to make
the payment. In case the hospital is not equipped to handle the victim, it is
their duty to direct the victim to the nearest hospital or clinic where the
facility for treatment is available. In case the victim suffers any physical or
mental damage, or death is caused due to denial of emergency medical service by
the hospital or clinic, a penalty of minimum Rs. 10 lakhs can be imposed along
with the cancellation of the license.
States In India Having Provisions Or Schemes With Regard To Good Samaritan-
Delhi Good Samaritan Scheme Under this scheme the state government shall
provide an incentive of ₹2000 to those people who help accident victim to reach
hospital. The main motive of the state government is to reduce time for an
accident victim to reach hospital.
West Bengal Good Samaritan Scheme- Under this scheme the state government
shall provide an incentive of ₹1500 to those people who help accident victim to
reach hospital. The hospitals have been asked not to demand any payment or
admission charges from the witnesses.
Karnataka Good Samaritan And Medical Professional (Protection And Regulation
During Emergency Situation) 2018-
A Good Samaritan shall not be required to, -
a) furnish any of his own personal information such as his name, telephone
number and address at the hospital including for the preparation of a
medico-legal form; or
b) fulfil any procedure related to the admission of an injured person at a
hospital; or
c) bear any medical expenses towards the treatment of an injured person at a
hospital.
A Good Samaritan shall not be required for examination by the police, in
accordance with section 9 and 10 of this Act, unless such Good Samaritan is
proven to be an eye-witness to the accident or incident of crime or any other
emergency situation:
Provided that a Good Samaritan may lodge a complaint with the appropriate
authority as may be specified by the Government by notification, for any
grievance against a police officer on the grounds of harassment or intimidation,
and such authority shall ensure that a departmental inquiry is initiated on the
basis of the complaint;
(a) A Good Samaritan may voluntarily provide to the hospital his own name and
address, the name of the injured person, if known, and shall be required to
provide the time and place from where he has rescued such an injured person;
if the information in clause (a) is provided by the Good Samaritan, a copy
thereof, along with an acknowledgment of his services shall be provided to him
immediately for his records.
Chapter VI of The Act Deals With Good Samaritan Fund-
Constitution of Good Samaritan Fund.-
The Government may after due appropriation made by the State Legislature in this
behalf, make to the appropriate authority, grants and loans of such sums of
money to the appropriate authority as the Government considers necessary.
a) There shall be constituted a Fund to be called as the Good Samaritan Fund to
which the following shall be credited, namely: -
b) any grant or loans made to the appropriate authority by the Government.
c) all sums received by the appropriate authority from such other sources, as
may be prescribed by the Government.
Such Fund shall be applied for carrying out the purposes of this Act, in
accordance with such rules as may be prescribed by the Government in this
regard.
Provided that the Government may apportion such monies from the Fund to support
the reasonable expenses of a Good Samaritan in accordance with section 14 of
this Act;
Notwithstanding anything contained in section 6 of this Act, the Government may
by notification, after due appropriation made by the State Legislature in this
behalf , make additional rules under this Act for the reimbursement of charges
or expenses incurred by the hospital towards the treatment provided, if such
hospital was unable to recover a reasonable minimum proportion of costs or
expenses incurred for such appropriate treatment rendered, then that hospital
may apply to an appropriate authority within such period and in such form and
manner, as may be prescribed, by the Government in this regard, after the date
of commencement of such rules.
Responsibility for implementation and administration of fund. The Government
shall prescribe an appropriate authority by a notification, at the district
level which shall be responsible for the implementation and administration of
this Fund and shall act as the nodal authority for grievanceredressal under this
Act.
Global Perspective
Countries all over the world are very different from each other – they vary in
races, cultures, languages, economic status, etc. but one thing that binds this
diversity, is humanity. Providing assistance to a person who is in danger is an
indispensable aspect of humanity and therefore, it is important to look at the
various laws governing a “Good Samaritan†in different countries.
France: Under the French Law, any person who wilfully fails to offer assistance
to a person who is in danger incurs a criminal liability. However, such a person
is exempt if providing assistance to the person in danger would put him or any
third parties to any risk. In other words, the law casts a duty on a bystander
to assist and failing to do so would make such a person liable to fine and
imprisonment.
United States of America: Similar protection to good Samaritans is to be found
in different states’ laws in the USA. States of Alabama, Alaska, Arizona,
Arkansas, California and New York, to name a few, provide that if a person lends
emergency assistance or service to another person in good faith, he is not
liable in civil damages with respect to his act or omission.
China: The Good Samaritans’ Rights Protection Regulation is a recently adopted
statute and applies only to the Shenzhen Special Economic Zone in Guangdong
Province. However, it sets a good example for other cities. It applies only to
rescuers who have no legal or contractual obligation to provide assistance to
the victim. The rescuer is exempt from legal liability for unintentional injury
or death unless gross negligence is proved. If a “Good Samaritan†dies or is
injured while helping will receive compensation from the Government. They also
have the right to seek the help of legal aid organizations if they face the
threat of lawsuits.
Indian Perspective
The Indian scenario with respect to Good Samaritan law is underdeveloped and
deficient in its operation. The discussions on the requirement of such a law
have been undertaken only in the past decade. This is in consequence to the
provision not being present anywhere in the Motor Vehicles Act, 1988 as well as
lack of focus by the legislature, despite of the increase in road accidents in
the past few years.
Although there have been shortcomings, in order to enact a suitable legislation
for the protection of the ‘bystanders’ who come to the aid of the victims,
substantial developments have taken place from the year 2012, where the Ministry
of Road Transport and Highways (“MoRTHâ€) along with the judiciary have advanced
the scope of the Good Samaritan Law. The most notable developments being:
The Supreme Court, in the case of Save Life Foundation & Anr. v. Union of India
& Anr. granted legal teeth to the guidelines issued by( MoRTH) and the latter
becoming binding in all states and union territories, till Union Legislature
frames the required legislation.
The Good Samaritan (Protection from Civil and Criminal Liabilities) and
Miscellaneous Provisions Bill, 2014, discussing the immunity which can be
availed by the ‘bystanders’ or ‘first responders’ along with the need for a Good
Samaritan Authority and the duty of the hospitals and clinics. Although still
pending enactment by the parliament, the bill is a step in the right direction.
Elucidating on the recent advancements made in the Indian Scenario, the
following has been observed:
A) The Save Life Foundation Judgement
Background The events of the petition were triggered through a Public Interest
Litigation filed by the Save Life Foundation, a non-profit, non-governmental
organization aiming to create a unique network of medical responders to come to
the victim’s aid.
In the year 2012, the Supreme Court had constituted an expert committee headed
by Justice V.S. Agarwal, former judge of the Delhi High Court, to deal with the
legislation with respect to the creation of road safety, treatment of accident
victims etc. to be considered under one umbrella. In the year 2013, Justice
Agarwal conveyed his inability to continue which led to the appointment of Shri
S.K. Skandan, Additional Secretary (CS&K) as the ad-hoc chairman of the
committee with adequate representation from Union of India.
Out of the various recommendations made by the committee, [majority being dealt
with in SC order dated April 22nd, 2014 in S. Rajaseekaran v. Union of India,
the reliance was placed upon the report under the Head “Recommended Directions
in Relation to Protection of Good Samaritansâ€, for immediate attention.
The MoRTH and the Ministry of Law and Justice were also supportive of the
recommendations made by the aforesaid court appointed committee. Henceforth, the
court had directed both the Ministries, in consultation with each other, to
issue necessary guidelines with regards to protection of the Good Samaritans,
which were issued in the notification titled “Good Samaritan Guidelinesâ€
The Judgment and Guidelines -
Judgment: Pronounced on March 30th, 2016, primary focus was on the issue of the
development of a supportive legal framework to protect the Good Samaritans.
Although the Judgment had put emphasis on the guidelines issued by the 2015
Notification, it also shed light on the critical deficiencies in the Motor
Vehicles Act and other laws governing road safety.
Guidelines: The important guidelines, to be followed by hospitals, police
and all other authorities for protection of the Good Samaritan by:
Not holding the person liable for any civil and criminal liability; Allowing the
person (including an eyewitness), who took the injured person to the nearest
hospital, to immediately leave (except after furnishing address by the
eyewitness only), with no further questions are to be asked;
Providing compensation or reward along with due acknowledgement by the rescued
person, in manner specified by the State, encouraging other citizens
simultaneously; Letting disclosure of personal information be voluntary and
optional (including the Medico Legal Case Forms of the hospitals) and
disciplinary action taken against the persons coercing the disclosure;
Conducting investigation through an examination only on a single occasion with
application of the standard operating procedure so established under Section 284
(by way of commission) or Section 296 (through an affidavit) of the Criminal
Procedure Code;
Conducting the aforesaid investigation using video conferencing extensively to
prevent harassment;
Undertaking disciplinary action against the doctor for lack of response under
the Medical Council regulations.
In addition to the above, the Ministry of Health and Family Welfare is required
to issue guidelines for both public and private hospitals stating the procedure
to be followed when assistance is provided by the bystander.
B) Standard Operating Procedure: The Standard Operating Procedure came into
force pursuant to a Notification, issued by MoRTH for implementation of the
procedure to be followed when conducting the examination of the Good Samaritan.
The Superintendent of Police or Deputy Commissioner of Police or any other
Police official of corresponding seniority heading the Police force of a
District has to ensure that the procedure is adopted in the respective
jurisdictions.
Judicial System On Good Samaritan Laws
The Department of Road Transport is responsible for framing motor vehicle
legislation and evolving road safety standards in India. The WHO in its ‘World
Report on Road Traffic Injury Prevention, 2004’ has projected that by 2020, road
accidents will be one of the biggest killers in India. It also emphasized that
in low income countries, the most common desisting factor restraining the public
from coming forward to help victims, is the apparent fear of being involved in
police cases. There is need to build confidence amongst the public to help road
accident victims. Bystanders should not be insisted to divulge their personal
particulars or detained in the hospital for interrogation. People are hesitant
to render immediate help to the road accident victims. The victims lay wounded
on the road for some time till the arrival of police. Delay rendering medical
help in such cases sometimes is fatal. Good Samaritans have the fear of legal
consequences, involvement in litigation and repeated visits to police station.
There is urgent need to tackle these issues. There is need to establish legal
framework so that Good Samaritan is empowered to act without any fear of adverse
consequences or harassment. Save life must be the top priority.
Objectives of the Judiciary:
The objectives and functions of the Judiciary include the following:
to ensure that all persons are able to live securely under the rule of law;
to promote, within the proper limits of the judicial function, the observance
and the attainment of human rights; and
to administer the law impartially among persons and between persons and
the State.â€
Public Perception And Good Samaritan Laws
Public Perception on Road Safety
86% of all respondents considered the issue of road safety to be very important.
The same was reflected in city-wise results, wherein majority took road safety
to be a very important issue. At the same time, 80% of all road users feel
unsafe on Indian roads and 82% pedestrians feel unsafe while crossing the road
or walking on the road. 49% respondents admitted to having witnessed a fatal
road crash and 44% claimed that they had witnessed a road crash in which at
least one person was seriously injured. Similarly, 31% respondents had a family
member who was seriously injured in a road crash and 16% had a family member who
was killed in a road crash. This shows that possibly because a majority of
Indians have experienced a road crash, seen one or lost a dear one to the same;
most of them take Road Safety to be an issue of critical importance
Public Perception on Enforcement
The survey results by the Safe Life Foundation clearly reflect that increased
certainty of being apprehended for violations by way of electronic enforcement,
has a deterrent effect on road user behaviour. Affirming this tendency, 54%
respondents strongly felt that they would follow traffic rules in areas with
camera-based enforcement and 64% also felt that camera-based enforcement will
lessen corruption and increase prosecution of traffic offences. As far as
helmet-wearing practice in two-wheeler riders is concerned, 42% stated that they
did not wear one at all. Out of the 58% respondents who did wear helmets, 84%
did so to avoid head injury, 39% did so to avoid fines and 37% did so because it
was a part of the traffic rules. This suggests that prevention of injury and
monetary punishment are two major factors for people to observe helmet-wearing
practice. Survey results for helmet-wearing practice while riding pillion show
that 52% respondents admitted to not wearing one. Out of the 48% respondents who
did wear helmets while riding pillion, 85% did so to avoid head injury and 38%
did so because it was a part of the traffic rules. Contrastingly, out of the 52%
respondents who did not wear a helmet if they were pillion riders, 58% did so
because it wasn’t mandatory.
Public Perception on Education
It was appalling to note that 59% respondents admittedly did not give a test to
get a driving license. 88% in Agra, 72% in Jaipur, 64% in Guwahati, 54% in Delhi
and Kochi, 50% in Mumbai and 48% in Kolkata and Bengaluru also admitted to not
having given a test for acquiring a license. When it comes to knowledge of the
key concepts of driving like the three-second rule, hydroplaning and blind
spots; only 12%, 7% and 8% admitted to being aware of each respectively.
Majority in all cities surveyed also admitted of not being aware of these three
fundamental rules of driving.
Public Perception on Emergency Care
The confidence that Indian road-users have on the existing Emergency Care
response is clearly minimal, with just 26% respondents feeling very confident
about receiving immediate medical help if they met with a road crash in their
city and only 13% being very confident of getting immediate help if they made a
call to the concerned emergency services. Survey by the SLF results also reveal
that only 60% respondents were aware about the local ambulance numbers and 77%
were aware about the emergency police number in their respective cities. 56%
respondents also strongly felt that ambulances should follow minimum safety
standards to ensure safer transportation of victims.
Incentivization
Stringent punishment for faulty road design and engineering
Development of a standardised accident investigation methodology incorporating
condition of roads
Independent road safety audits
Punishment for contractors and agencies in case of discovery of fault.
Recent Developments
The sole statute governing Road Safety in India, the Motor Vehicles Act, 1988 (MVA)
has been largely ineffective in tackling the rising road crash deaths in the
country. Due to the lack of a comprehensive and administrative framework for
Road Safety in India, most interventions to tackle this epidemic have remained
unsustainable. In the Monsoon Session of Parliament (July-August, 2016), the
Government of India introduced the Motor Vehicles (Amendment) Bill, 2017. The
Bill aims to amend 68 out of 223 sections and insert 28 new sections in the MVA,
1988, in order to fill the legislative gaps existing in the current framework.
The Motor Vehicles (Amendment) Bill, 2017 was passed by Lok Sabha on April 10,
2017 and now awaits passage by the Rajya Sabha.
Conclusion-
How safe do Indians feel on roads?
Given the high mortality, morbidity and overall socio-economic impact of road
crashes in India, issues surrounding road safety occupy the minds of the general
public significantly. 86% of the respondents believe that the issue of road
safety is very important. While overall, 80% of all road users feel unsafe on
Indian roads, 82% of pedestrians feel unsafe while crossing the road or walking
on the road.
Good Samaritan laws point society in a proper direction and act as a “moral
compassâ€. In other words, human life must be valued at all times over all things
and one must help those whose life is in danger. Most of the people who are
willing to help out in such a situation have various fears that have been
mentioned above. In such circumstances it is the duty of the State to ensure
that adequate protection and rights are given to the persons willing to help
those in need. It is pertinent to note that the Bill enumerates the rights of
the Good Samaritan but does not impose any duties on the bystanders.
The emphasises should be on the importance of spreading awareness about the
rights of the Good Samaritan. Even though Clause 5 (1) of the Bill states that a
person will not be liable with respect to anything done to save life or property
of the victim, this clause is very general fails to emphasise on the basic right
of immunity. Just like it is clearly provided that hospitals and clinics are
immune from liability in case any complication arises during the treatment
(except in the case of negligence), in the same way the Law must specify that
the Good Samaritan will be immune from any liability in case something happens
to the victim after or during the emergency response of the Good Samaritan which
would include calling the Police or ambulance or taking the victim to the
hospital. This is extremely necessary because apart from the fear of payment for
treatment or being harassed by the Police, people also have the fear of causing
more harm.
Since the accidents and incidents of crime are at a rise in India, there is an
urgent need to enact the legislation that would deal with the protection of the
Good Samaritans. The Guidelines issued by the MoRTH along with the Standard
Operating Procedures are only applicable to accidents on roads and highways. The
existing guidelines and provides various rights to the person who comes forward
to help victims of accidents or incidents of crime.
Among the reasons for India’s unacceptably high rate of road accident fatalities
is the inability to get timely medical treatment for victims. official
statistics put the number of people who died on the roads in 2015 at 1,46,000.
It is reckoned that a larger percentage of them could have been saved had
emergency medical treatment been provided immediately. In a report in 2006, the
Law Commission estimated that 50 per cent of accident victims would have
survived had they got medical attention within an hour. A major impediment to
victims obtaining timely help is the fear among bystanders that they could be
embroiled in a police investigation or be subjected to harassment due to the
legal procedures involved if they chipped in to provide first-aid, ferry the
injured to hospital or even call for medical or police assistance. This is why a
‘Good Samaritan’ legal protection is vital. Parliament has not enacted such a
law, but thanks to the Supreme Court and a campaign by voluntary organisations,
the Centre notified guidelines last year for the protection of those who help
accident victims. In January 2016, a Standard Operating Procedure to make these
guidelines work was introduced. Now, the Union Road Transport Ministry has added
a significant clause under which a Good Samaritan’s affidavit will have the
legal force of a statement. If a statement is required, it should be recorded in
a single examination. This is applicable only to those who want to be witnesses,
for the guidelines say the police should not compel them to disclose their
particulars or to be witnesses.
Since many accidents take place along highways, access to the nearest medical
facility is not always easy. A factor that discourages bystanders from coming
forward to take victims to a hospital is the fear that they would be made to pay
admission costs in a hospital or detained there for long hours. A year ago, the
Union Health Ministry directed hospitals that they should not detain those who
bring accident victims for admission. They should not be required to pay for
admission or registration, or asked intrusive questions beyond basic particulars
such as names and addresses. Though such guidelines and simplified procedures
are welcome, much more needs to be done to encourage people to get involved in
the rescue of accident victims. So far, only a few State governments have
adopted the Good Samaritan guidelines. All States must get actively involved in
their implementation. For it is from the regional domain that those who deal
with such situations — the police, doctors, transport officials and magistrates
— are drawn. A good deal of sensitization is needed, and it may help if State
governments drew up their own set of rules so that they become committed
stakeholders in the cause.
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